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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Lloyd McKernan, Aoife O'Dwyer, Veronica Simo Mannion, Luisa |
| Description | Author Affiliation: Lloyd McKernan A ( Dublin Institute of Technology, Ireland. Electronic address: aoifemarie.lloyd@dit.ie.); O'Dwyer V ( Dublin Institute of Technology, Ireland. Electronic address: Veronica.Odwyer@dit.ie.); Simo Mannion L ( Plymouth University, United Kingdom. Electronic address: luisa.simo@plymouth.ac.uk.) |
| Abstract | INTRODUCTION: Accurate corneal measurements are crucial in corneal refractive surgery (CRS) to ensure successful outcomes. Soft contact lens (SCL) wear may result in changes to corneal curvature and structure. United States Food and Drug Administration (FDA) pre-operative guidelines recommend that prior to CRS, SCL wearers cease SCL wear for 'at least two weeks before examination and treatment' [1]. Corneal curvature changes induced by SCL wear may take longer than two weeks to resolve. PURPOSE: To examine the effect of SCL wear on corneal curvature before and following two weeks SCL wear cessation. To explore the possible impact of different SCL materials and years of SCL wear. METHODS: Retrospective data analysis, between a group of SCL wearers (SCL: n=45); and a non-contact lens control group (NCL: n=45). Corneal curvature parameters were measured using the Pentacam (Oculus, Germany), before and following two weeks cessation of SCL wear. RESULTS: No significant differences in keratometry or Sagittal radius of curvature between SCL and NCL groups prior to or following SCL cessation. Tangential radius of curvature showed significant inferior steepening for the SCL group prior to SCL cessation (SCL vs. NCL; 7.77±0.30mm vs. 7.90±0.30mm; p=0.04). Following two weeks cessation of SCL wear this appeared to have resolved. CONCLUSIONS: Two weeks cessation of SCL wear appears sufficient for resolution of corneal curvature changes with modern SCL materials and years of SCL wear. However, further studies with longer lens deprivation periods are required to ensure stability for all SCL wearing patients. |
| File Format | HTM / HTML |
| ISSN | 13670484 |
| Issue Number | 1 |
| Volume Number | 37 |
| e-ISSN | 14765411 |
| Journal | Contact Lens and Anterior Eye |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2014-02-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Ophthalmology Contact Lenses, Hydrophilic Cornea Anatomy & Histology Withholding Treatment Adult Corneal Pachymetry Female Humans Male Retrospective Studies Time Factors Tomography Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Ophthalmology Optometry |
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